Long Life Pharmacy 2 LLC
NPI 1497355002ActiveOrganization· Pharmacy· West Allis, WI
Pharmacy in West Allis, Wisconsin, registered in NPPES in November 2020. The authorized official on file is Moath Sarsour, PHARMD, Owner And Pharmacist. Medicare paid $4,024 for services to 16 patients in 2024.
Overview
| NPI | 1497355002 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2020 |
| Last updated in NPPES | Apr 4, 2024 |
| Certified by provider | Apr 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 32 across 5 procedure codes |
| Paid by Medicare | $4,024 |
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